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Organization

WALMART INC.

Active
Other names
Wal-Mart Vision Center 30-0905
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW MCMULLIN (DIRECTOR)
(479) 371-8711
Entity
Organization

Contact information

Practice address
2285 EAST KEN PRATT BLVD, LONGMONT, CO 80504
(303) 678-1906
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1238
(479) 277-4331

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
10/20/2006
Last updated
12/08/2023
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